Systematic Reviews and Meta Analysis
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T Regulatory Cells in Children with Atopic Dermatitis

Year 2018, Volume: 71 Issue: 2, 118 - 122, 10.10.2018

Abstract

Objectives: The aim of this study was to examine peripheral blood CD4+CD25high+FOXP3+ regulatory T (Treg) cell levels in children with atopic dermatitis (AD) and to evaluate their effects on the pathogenesis of the disease.

Materials and Methods: Forty one patients (age between 1-60 months) satisfied the criteria for AD (Hanifin and Rajka criteria) and 20 healthy children were included into the study. Intracytoplasmic FOXP3 expression in CD4+CD25+ cells was measured by flow cytometry (Beckman Coulter FC500, USA, Software CXP 1.2). The change in mean fluorescence intensity (MFI) of the FOXP3 molecule relative to the MFI of the isotypic control was based on evaluation.

Results: Children with atopic dermatitis have significantly lower levels of peripheral blood CD4+CD25high+FOXP3+ regulatory T cells and higher levels of CD4+CD25high+FOXP3+ regulatory T cell MFI than the control group (p<0.001).

Conclusion: Low levels of CD4+CD25high+FOXP3+Treg cells in atopic dermatitis might be due to the accumulation of these cells on the skin. While the CD4+CD25high+FOXP3+Treg cell levels were low, the high MFI levels of these cells suggests an attempt by Treg cells to regulate the immune response. Therefore, CD4+CD25high+FOXP3+Treg cells might play a role in the pathogenesis of atopic dermatitis.

Ethical Statement

The study was initiated following its approval by the local ethics committee of Ankara University Faculty of Medicine.

Supporting Institution

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Project Number

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Thanks

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References

  • 1. Kristal L, Klein PA. Atopic dermatitis in infants and children: an update. Pediatr Clin North Am 2000;47:877-895.
  • 2. Bieber T. Atopic dermatitis. N Engl J Med 2008;358:1483-1494.
  • 3. Thomsen SF. Atopic dermatitis: natural history, diagnosis, and treatment. ISRN Allergy [Internet] 2014:354250 [cited 2014 September 01]; [about 7 p.]. Available from: http://www. hindawi.com/journals/isrn/2014/354250/
  • 4. Romagnani S. Regulation of the T cell response. Clin Exp Allergy 2006;36:1357-1366.
  • 5. Stock P, DeKruyyff RH, Umetsu DT. Inhibition of the allergic response by regulatory T cells. Curr Opin Allergy Clin Immunol 2006;1:12-16.
  • 6. Baud O, Goulet O, Canioni D, et al. Treatment of the immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome (IPEX) by allogenic bone marrow transplantation. N Engl J Med 2001;344:1758-1762.
  • 7. Owen CJ, Jennings CE, Imrie H, et al. Mutational analysis of the FOXP3 gene and evidence for genetic heterogeneity in the immunodysregulation, polyendocrinopathy, enteropathy syndrome. J Clin Endocrinol Metab 2003;88:6034-6039.
  • 8. Ito Y, Adachi Y, Makino T, et al. Expansion of FOXP3-positive CD4+CD25+ T cells associated with disease activity in atopic dermatitis. Ann Allergy Asthma Immunol 2009;103:160-165.
  • 9. Szegedi A, Barath S, Nagy G, et al. Regulatory T cells in atopic dermatitis: epidermal dendritic cell clusters may contribute to their local expansion. Br J Dermatol 2009;160:984-993.
  • 10. Ou LS, Goleva E, Hall C, et al. T regulatory cells in atopic dermatitis and subversion of their activity by superantigens. J Allergy Clin Immunol 2004;113:756-763.
  • 11. Verhagen J, Akdis M, Traidl-Hoffmann C, et al. Absence of T regulatory cell expression and function in atopic dermatitis skin. J Allergy Clin Immunol 2006;117:176-183.
  • 12. Nakamura K, Kitani A, Strober W. Cell contact-dependent immunosuppression by CD4+CD25+ regulatory T cells is mediated by cell surface-bound transforming growth factor beta. J Exp Med 2001;194:629-644.
  • 13. Roesner LM, Floess S, Witte T, et al. Foxp3(+) regulatory T cells are expanded in severe atopic dermatitis patients. Allergy 2015;70:1656-1660.
  • 14. Stelmaszczyk-Emmel A, Zawadzka-Krajewska A, Szypowska A, et al. Frequency and activation of CD4+CD25 FoxP3+ regulatory T cells in peripheral blood from children with atopic allergy. Int Arch Allergy Immunol 2013;162:16-24.
  • 15. Hinz D, Bauer M, Röder S, et al. Cord blood Tregs with stable FOXP3 expression are influenced by prenatal environment and associated with atopic dermatitis at the age of one year. Allergy 2012;67:380-389.

Atopik Dermatitli Çocuklarda Regülatör T Hücreleri

Year 2018, Volume: 71 Issue: 2, 118 - 122, 10.10.2018

Abstract

Amaç: Bu çalışmanın amacı, atopik dermatitli (AD) çocuklarda periferik kanda CD4+CD25high+FOXP3+ regülatör T (Treg) hücreleri ve bu hücrelerin hastalığın patogenezi üzerine etkilerini değerlendirmektir.

Gereç ve Yöntem: AD kriterlerini (Hanifin ve Rajka kriterlerini) karşılayan 41 AD’li hasta (yaş aralığı: 1-60 ay) ve 20 sağlıklı çocuk çalışmaya dahil edildi. CD4+CD25 + hücrelerde intrasitoplazmik FOXP3 ekspresyonu akım sitometrisi (Beckman Coulter FC500, USA, Software CXP 1.2) ile ölçüldü. Değerlendirmede FOXP3 molekülünün ortalama floresan yoğunluğunun (MFI) izotipik kontrolün MFI’ya göre değişimi esas alındı.

Bulgular: AD’li çocukların kontrol grubuna göre; periferik kan Treg hücre seviyeleri düşük ve CD4+CD25high+FOXP3+Treg hücre MFI’ı daha yüksek bulundu (p<0,001).

Sonuç: AD’de düşük CD4+CD25high+FOXP3+Treg hücre seviyeleri, bu hücrelerin deride birikmesine bağlı olabilir. CD4+CD25high+FOXP3+Treg hücre sayıları düşük iken, bu hücrelerin yüksek MFI seviyelerinin olması Treg hücrelerinin immün yanıtlarını düzenlemek için bir girişim olduğunu düşündürmektedir. Bu nedenle CD4+CD25high+FOXP3+Treg hücreleri AD patogenezinde rol oynayabilir.

Anahtar Kelimeler: Atopik Dermatit, Regülatör T, FOXP3 İfadesi, Akım Sitometri, Ortalama Floresan Yoğunluğu Düzeyleri

Ethical Statement

-

Supporting Institution

-

Project Number

-

Thanks

-

References

  • 1. Kristal L, Klein PA. Atopic dermatitis in infants and children: an update. Pediatr Clin North Am 2000;47:877-895.
  • 2. Bieber T. Atopic dermatitis. N Engl J Med 2008;358:1483-1494.
  • 3. Thomsen SF. Atopic dermatitis: natural history, diagnosis, and treatment. ISRN Allergy [Internet] 2014:354250 [cited 2014 September 01]; [about 7 p.]. Available from: http://www. hindawi.com/journals/isrn/2014/354250/
  • 4. Romagnani S. Regulation of the T cell response. Clin Exp Allergy 2006;36:1357-1366.
  • 5. Stock P, DeKruyyff RH, Umetsu DT. Inhibition of the allergic response by regulatory T cells. Curr Opin Allergy Clin Immunol 2006;1:12-16.
  • 6. Baud O, Goulet O, Canioni D, et al. Treatment of the immune dysregulation, polyendocrinopathy, enteropathy, X-linked syndrome (IPEX) by allogenic bone marrow transplantation. N Engl J Med 2001;344:1758-1762.
  • 7. Owen CJ, Jennings CE, Imrie H, et al. Mutational analysis of the FOXP3 gene and evidence for genetic heterogeneity in the immunodysregulation, polyendocrinopathy, enteropathy syndrome. J Clin Endocrinol Metab 2003;88:6034-6039.
  • 8. Ito Y, Adachi Y, Makino T, et al. Expansion of FOXP3-positive CD4+CD25+ T cells associated with disease activity in atopic dermatitis. Ann Allergy Asthma Immunol 2009;103:160-165.
  • 9. Szegedi A, Barath S, Nagy G, et al. Regulatory T cells in atopic dermatitis: epidermal dendritic cell clusters may contribute to their local expansion. Br J Dermatol 2009;160:984-993.
  • 10. Ou LS, Goleva E, Hall C, et al. T regulatory cells in atopic dermatitis and subversion of their activity by superantigens. J Allergy Clin Immunol 2004;113:756-763.
  • 11. Verhagen J, Akdis M, Traidl-Hoffmann C, et al. Absence of T regulatory cell expression and function in atopic dermatitis skin. J Allergy Clin Immunol 2006;117:176-183.
  • 12. Nakamura K, Kitani A, Strober W. Cell contact-dependent immunosuppression by CD4+CD25+ regulatory T cells is mediated by cell surface-bound transforming growth factor beta. J Exp Med 2001;194:629-644.
  • 13. Roesner LM, Floess S, Witte T, et al. Foxp3(+) regulatory T cells are expanded in severe atopic dermatitis patients. Allergy 2015;70:1656-1660.
  • 14. Stelmaszczyk-Emmel A, Zawadzka-Krajewska A, Szypowska A, et al. Frequency and activation of CD4+CD25 FoxP3+ regulatory T cells in peripheral blood from children with atopic allergy. Int Arch Allergy Immunol 2013;162:16-24.
  • 15. Hinz D, Bauer M, Röder S, et al. Cord blood Tregs with stable FOXP3 expression are influenced by prenatal environment and associated with atopic dermatitis at the age of one year. Allergy 2012;67:380-389.
There are 15 citations in total.

Details

Primary Language English
Subjects Pediatric Immunology and Allergic Diseases
Journal Section Articles
Authors

Zehra Şule Haskoloğlu 0000-0002-2668-0441

Project Number -
Publication Date October 10, 2018
Published in Issue Year 2018 Volume: 71 Issue: 2

Cite

APA Haskoloğlu, Z. Ş. (2018). T Regulatory Cells in Children with Atopic Dermatitis. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 71(2), 118-122. https://doi.org/10.4274/atfm.87597
AMA Haskoloğlu Z Ş. T Regulatory Cells in Children with Atopic Dermatitis. Ankara Üniversitesi Tıp Fakültesi Mecmuası. October 2018;71(2):118-122. doi:10.4274/atfm.87597
Chicago Haskoloğlu, Zehra Şule. “T Regulatory Cells in Children With Atopic Dermatitis”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 71, no. 2 (October 2018): 118-22. https://doi.org/10.4274/atfm.87597.
EndNote Haskoloğlu Z Ş (October 1, 2018) T Regulatory Cells in Children with Atopic Dermatitis. Ankara Üniversitesi Tıp Fakültesi Mecmuası 71 2 118–122.
IEEE Z. Ş. Haskoloğlu, “T Regulatory Cells in Children with Atopic Dermatitis”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 71, no. 2, pp. 118–122, 2018, doi: 10.4274/atfm.87597.
ISNAD Haskoloğlu, Zehra Şule. “T Regulatory Cells in Children With Atopic Dermatitis”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 71/2 (October2018), 118-122. https://doi.org/10.4274/atfm.87597.
JAMA Haskoloğlu Z Ş. T Regulatory Cells in Children with Atopic Dermatitis. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2018;71:118–122.
MLA Haskoloğlu, Zehra Şule. “T Regulatory Cells in Children With Atopic Dermatitis”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, vol. 71, no. 2, 2018, pp. 118-22, doi:10.4274/atfm.87597.
Vancouver Haskoloğlu Z Ş. T Regulatory Cells in Children with Atopic Dermatitis. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2018;71(2):118-22.